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Washington, DC rates for HCPCS J1458

Galsulfase Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.76 / $1,425.54 / $1,920.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.50 / $740.44 / $1,252.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.96 / $479.96 / $508.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.45 / $432.45 / $508.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.97 / $508.76 / $824.59